Individual
JENNIFER HALLORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
120 W 7TH ST STE 104, BLOOMINGTON, IN 47404-3835
(812) 671-2688
Mailing address
2801 S DALE CT, BLOOMINGTON, IN 47401-2414
(812) 671-2688
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34007868A
IN
Other
Enumeration date
05/27/2015
Last updated
10/25/2020
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